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Transforming towards AI-augmented Healthcare: Experiences of physicians in Sweden

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  • Ismail, Muhammad
  • Barth, Henrik
  • Holmén, Magnus
  • Petersson, Lena
  • Irgang, Luís

Abstract

Recent advancements in connectivity and automation driven by artificial intelligence (AI) is leading to transformative changes in the healthcare sector. This study investigates physicians' experience of AI-based technologies in healthcare. To achieve this objective, we gathered responses through open-ended essays from 326 physicians working in Swedish healthcare. These respondents have experience in using AI technologies for distinct tasks, which include prediction, diagnosis, medical image analysis, text generation, analysis, chatbots, wearable devices, telemedicine and robot assistance. The data was analyzed by thematic coding. The findings show that the physicians’ perception towards use of AI in healthcare is influenced by drivers and barriers that are present at macro, organizational, system and personal level. The identified drivers include work task changes, functional aspects, organizational aspects, system characteristics and personal motivators. The barriers include legal and ethical dilemma, organizational readiness, system limitations and personal demotivators. This study leverages paradox theory as a framework to deepen the understanding of the complexities and interconnections between perceived barriers and potential solutions related to AI in healthcare as a contribution to the literature.

Suggested Citation

  • Ismail, Muhammad & Barth, Henrik & Holmén, Magnus & Petersson, Lena & Irgang, Luís, 2025. "Transforming towards AI-augmented Healthcare: Experiences of physicians in Sweden," Technovation, Elsevier, vol. 148(C).
    • Handle: RePEc:eee:techno:v:148:y:2025:i:c:s0166497225001658
    DOI: 10.1016/j.technovation.2025.103333
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    1. Taridzo Chomutare & Miguel Tejedor & Therese Olsen Svenning & Luis Marco-Ruiz & Maryam Tayefi & Karianne Lind & Fred Godtliebsen & Anne Moen & Leila Ismail & Alexandra Makhlysheva & Phuong Dinh Ngo, 2022. "Artificial Intelligence Implementation in Healthcare: A Theory-Based Scoping Review of Barriers and Facilitators," IJERPH, MDPI, vol. 19(23), pages 1-18, December.
    2. Dalvi-Esfahani, Mohammad & Mosharaf-Dehkordi, Mehdi & Leong, Lam Wai & Ramayah, T. & Jamal Kanaan-Jebna, Abdulkarim M., 2023. "Exploring the drivers of XAI-enhanced clinical decision support systems adoption: Insights from a stimulus-organism-response perspective," Technological Forecasting and Social Change, Elsevier, vol. 195(C).
    3. Mauro, Marianna & Noto, Guido & Prenestini, Anna & Sarto, Fabrizia, 2024. "Digital transformation in healthcare: Assessing the role of digital technologies for managerial support processes," Technological Forecasting and Social Change, Elsevier, vol. 209(C).
    4. Dwivedi, Yogesh K. & Hughes, Laurie & Ismagilova, Elvira & Aarts, Gert & Coombs, Crispin & Crick, Tom & Duan, Yanqing & Dwivedi, Rohita & Edwards, John & Eirug, Aled & Galanos, Vassilis & Ilavarasan, , 2021. "Artificial Intelligence (AI): Multidisciplinary perspectives on emerging challenges, opportunities, and agenda for research, practice and policy," International Journal of Information Management, Elsevier, vol. 57(C).
    5. Sayed Fayaz Ahmad & Heesup Han & Muhammad Mansoor Alam & Mohd. Khairul Rehmat & Muhammad Irshad & Marcelo Arraño-Muñoz & Antonio Ariza-Montes, 2023. "Correction: Impact of artificial intelligence on human loss in decision making, laziness and safety in education," Humanities and Social Sciences Communications, Palgrave Macmillan, vol. 10(1), pages 1-1, December.
    6. Lettieri, Emanuele & Masella, Cristina, 2009. "Priority setting for technology adoption at a hospital level: Relevant issues from the literature," Health Policy, Elsevier, vol. 90(1), pages 81-88, April.
    7. DonHee Lee & Seong No Yoon, 2021. "Application of Artificial Intelligence-Based Technologies in the Healthcare Industry: Opportunities and Challenges," IJERPH, MDPI, vol. 18(1), pages 1-18, January.
    8. Roppelt, Julia Stefanie & Kanbach, Dominik K. & Kraus, Sascha, 2024. "Artificial intelligence in healthcare institutions: A systematic literature review on influencing factors," Technology in Society, Elsevier, vol. 76(C).
    9. Iyanna, Shilpa & Kaur, Puneet & Ractham, Peter & Talwar, Shalini & Najmul Islam, A.K.M., 2022. "Digital transformation of healthcare sector. What is impeding adoption and continued usage of technology-driven innovations by end-users?," Journal of Business Research, Elsevier, vol. 153(C), pages 150-161.
    10. Jan Jöhnk & Malte Weißert & Katrin Wyrtki, 2021. "Ready or Not, AI Comes— An Interview Study of Organizational AI Readiness Factors," Business & Information Systems Engineering: The International Journal of WIRTSCHAFTSINFORMATIK, Springer;Gesellschaft für Informatik e.V. (GI), vol. 63(1), pages 5-20, February.
    11. Pham, Phuoc & Zhang, Huilan & Gao, Wenlian & Zhu, Xiaowei, 2024. "Determinants and performance outcomes of artificial intelligence adoption: Evidence from U.S. Hospitals," Journal of Business Research, Elsevier, vol. 172(C).
    12. Shulman, Rayzel & Miller, Fiona A. & Daneman, Denis & Guttmann, Astrid, 2016. "Valuing technology: A qualitative interview study with physicians about insulin pump therapy for children with type 1 diabetes," Health Policy, Elsevier, vol. 120(1), pages 64-71.
    13. Westaby, James D., 2005. "Behavioral reasoning theory: Identifying new linkages underlying intentions and behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 98(2), pages 97-120, November.
    14. Schillaci, Carmela Elita & de Cosmo, Lucrezia Maria & Piper, Luigi & Nicotra, Melita & Guido, Gianluigi, 2024. "Anthropomorphic chatbots' for future healthcare services: Effects of personality, gender, and roles on source credibility, user satisfaction, and intention to use," Technological Forecasting and Social Change, Elsevier, vol. 199(C).
    15. Sayed Fayaz Ahmad & Heesup Han & Muhammad Mansoor Alam & Mohd. Khairul Rehmat & Muhammad Irshad & Marcelo Arraño-Muñoz & Antonio Ariza-Montes, 2023. "RETRACTED ARTICLE: Impact of artificial intelligence on human loss in decision making, laziness and safety in education," Humanities and Social Sciences Communications, Palgrave Macmillan, vol. 10(1), pages 1-14, December.
    16. Papadopoulos, Thanos & Baltas, Konstantinos N. & Balta, Maria Elisavet, 2020. "The use of digital technologies by small and medium enterprises during COVID-19: Implications for theory and practice," International Journal of Information Management, Elsevier, vol. 55(C).
    17. Bamel, Umesh & Talwar, Shalini & Pereira, Vijay & Corazza, Laura & Dhir, Amandeep, 2023. "Disruptive digital innovations in healthcare: Knowing the past and anticipating the future," Technovation, Elsevier, vol. 125(C).
    18. Leite, Higor & Hodgkinson, Ian R. & Lachowski Volochtchuk, Ana Vitória & Cavalcante Nascimento, Thiago, 2024. "‘It's not the boogeyman’: How voice assistant technology is bridging the digital divide for older people," Technovation, Elsevier, vol. 136(C).
    19. Xie, Xuemei & Fang, Liangxiu & Zeng, Saixing & Huo, Jiage, 2016. "How does knowledge inertia affect firms product innovation?," Journal of Business Research, Elsevier, vol. 69(5), pages 1615-1620.
    20. Modgil, Sachin & Gupta, Shivam & Kar, Arpan Kumar & Tuunanen, Tuure, 2025. "How could Generative AI support and add value to non-technology companies – A qualitative study," Technovation, Elsevier, vol. 139(C).
    21. Luna Leoni & Matteo Cristofaro, 2022. "To adopt or not to adopt? A co-evolutionary framework and paradox of technology adoption by small museums," Current Issues in Tourism, Taylor & Francis Journals, vol. 25(18), pages 2969-2990, September.
    22. Huang, Xiaozhi & Wu, Xitong & Cao, Xin & Wu, Jifei, 2023. "The effect of medical artificial intelligence innovation locus on consumer adoption of new products," Technological Forecasting and Social Change, Elsevier, vol. 197(C).
    23. Zhang, Xun & Shen, Kathy Ning & Xu, Biao, 2024. "Double-edged sword of knowledge inertia: Overcoming healthcare professionals’ resistance in innovation adoption," Technovation, Elsevier, vol. 133(C).
    24. Nidhi Singh & Monika Jain & Muhammad Mustafa Kamal & Rahul Bodhi & Bhumika Gupta, 2024. "Technological paradoxes and artificial intelligence implementation in healthcare. An application of paradox theory," Post-Print hal-04300238, HAL.
    25. Omrani, Nessrine & Rivieccio, Giorgia & Fiore, Ugo & Schiavone, Francesco & Agreda, Sergio Garcia, 2022. "To trust or not to trust? An assessment of trust in AI-based systems: Concerns, ethics and contexts," Technological Forecasting and Social Change, Elsevier, vol. 181(C).
    26. Flavián, Carlos & Belk, Russell W. & Belanche, Daniel & Casaló, Luis V., 2024. "Automated social presence in AI: Avoiding consumer psychological tensions to improve service value," Journal of Business Research, Elsevier, vol. 175(C).
    27. Cloarec, Julien, 2020. "The personalization–privacy paradox in the attention economy," Technological Forecasting and Social Change, Elsevier, vol. 161(C).
    28. Shirley Taylor & Peter A. Todd, 1995. "Understanding Information Technology Usage: A Test of Competing Models," Information Systems Research, INFORMS, vol. 6(2), pages 144-176, June.
    29. Arroyabe, Marta F. & Arranz, Carlos F.A. & Fernandez De Arroyabe, Ignacio & Fernandez de Arroyabe, Juan Carlos, 2024. "Analyzing AI adoption in European SMEs: A study of digital capabilities, innovation, and external environment," Technology in Society, Elsevier, vol. 79(C).
    30. Meyer, Lea Mareen & Stead, Susan & Salge, Torsten Oliver & Antons, David, 2024. "Artificial intelligence in acute care: A systematic review, conceptual synthesis, and research agenda," Technological Forecasting and Social Change, Elsevier, vol. 206(C).
    31. Raimo, Nicola & De Turi, Ivano & Albergo, Francesco & Vitolla, Filippo, 2023. "The drivers of the digital transformation in the healthcare industry: An empirical analysis in Italian hospitals," Technovation, Elsevier, vol. 121(C).
    32. Singh, Nidhi & Jain, Monika & Kamal, Muhammad Mustafa & Bodhi, Rahul & Gupta, Bhumika, 2024. "Technological paradoxes and artificial intelligence implementation in healthcare. An application of paradox theory," Technological Forecasting and Social Change, Elsevier, vol. 198(C).
    33. Constance E. Helfat & Margaret A. Peteraf, 2003. "The dynamic resource‐based view: capability lifecycles," Strategic Management Journal, Wiley Blackwell, vol. 24(10), pages 997-1010, October.
    34. Singha, Sumanta & Arha, Himanshu & Kar, Arpan Kumar, 2023. "Healthcare analytics: A techno-functional perspective," Technological Forecasting and Social Change, Elsevier, vol. 197(C).
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